DR. VINCENT J BROILLET MD - NPI 1811972177 - Pediatrics in Staten Island, NY

Q: What is Vincent Broillet's NPI number?

The NPI number for Vincent Broillet is 1811972177. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Q: What is Vincent Broillet's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Vincent Broillet was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Vincent J Broillet Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VINCENT J BROILLET MD (NPI 1811972177) is an individual pediatrics provider in Staten Island, New York, licensed in New York (207872) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1811972177

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. VINCENT J BROILLETCredential: MD

Location Address4143 RICHMOND AVEStaten Island, NY 10312-5637

Mailing Address4143 Richmond Ave Ste 1Staten Island, NY 10312-5637 · (718) 966-5556 · Fax (718) 966-7483

Phone(718) 966-5556

Fax(718) 966-7483

Sole ProprietorNo

Enumeration DateDecember 9, 2005

Last NPPES UpdateSeptember 24, 2021

NPPES CertifiedSeptember 24, 2021

✔ NPI 1811972177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 207872

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 207872 (NY)

4143 RICHMOND AVE, Staten Island, NY 10312

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Secondary Practice Location 1

Location 1475 Seaview AveStaten Island, NY 10305-3436 · Phone (718) 226-9158

Other Identifiers 1

Medicaid02109117NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vincent J Broillet Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA DEPHILIPS FNP

General Acute Care Hospital